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Title 花粉-食物アレルギー症候群 (PFAS) における交差反応性の最新情報
Subtitle シンポジウム6 交差反応 成人食物アレルギーについて
Authors 近藤康人
Authors (kana)
Organization 藤田医科大学ばんたね病院小児科
Journal 日本小児アレルギー学会誌
Volume 37
Number 1
Page 54-59
Year/Month 2023 /
Article 報告
Publisher 日本小児アレルギー学会
Abstract 「抄録:」花粉症患者が花粉アレルゲンと交差反応するタンパク質を含む植物性食物を摂取して即時型アレルギー症状を起こす病態を花粉-食物アレルギー症候群(PFAS:pollen-food allergy syndrome)と呼ぶ. 多くは花粉や果物に含まれるBet v 1ファミリーの交差抗原性によって引き起こされる. Bet v 1ファミリーのアレルゲンは加熱や胃酸でIgEエピトープが消失するため, 加工食品は食べられ, 症状は口腔内に限局するOral allergy syndrome(OAS)の臨床病型をしめす. 一方, ヒノキ科花粉症患者に果物によるOASが南欧で報告され, 原因としてGibberellin-regulated protein(GRP)の関与が報告された. 元来, 重篤な桃アレルギーの原因として報告されたGRPは低分子ながらS-S結合が6対あるため加熱や消化酵素に耐性を有し, 腸管で感作されると考えられている. しかし最近スギ花粉のアレルゲン(Cry j 7)としても報告されたことから, PFASへの関与について注目されている.
Practice 臨床医学:内科系
Keywords 花粉-食物アレルギー症候群, 果物アレルギー, 口腔アレルギー症候群, 交差反応, ジベレリン制御タンパク質, cross reactivity, fruit allergy, GRP (Gibberellin-regulated protein), OAS (oral allergy syndrome), PFAS (pollen-food allergy syndrome)

English

Title Pollen-food Allergy syndrome : Clinical features Up to date
Subtitle
Authors Yasuto Kondo
Authors (kana)
Organization Department of Pediatrics, Fujita Health University Bantane Hospital
Journal The Japanese Journal of Pediatric Allergy and Clinical Immunology
Volume 37
Number 1
Page 54-59
Year/Month 2023 /
Article Report
Publisher Japanese Society of Pediatric Allergy and Clinical Immunology
Abstract [Summary:] People with pollen allergy may cause allergic reactions immediately following ingestion of certain uncooked plant foods containing cross-reacting proteins to pollen allergen, which pathology is called pollen-food allergic syndrome. It is caused by the cross-antigenicity of the protein family of Bet v 1 homologues found in pollen and fruits. Symptoms are less likely to occur if the product is heat-treated. This is due to the heat-labile and denaturable three-dimensional structure of this protein. On the other hand, people with cypress pollen allergy who experienced allergy to fruits, have been reported in southern France, and the involvement of allergen 'Gibberellin-regulated protein (GRP)' is a causative antigen in PFAS. GRP is a protein reported as the cause of severe peach allergies. Although it is a small molecule, it has 6 pairs of S-S bounds, it has a stable three-dimensional structure against heat, and has a strong resistance to digestive enzymes, so it can be sensitized to the intestinal tract. Therefore, the problem is that the allergic symptoms spread to the whole body and allergic symptoms become severe. Since it has also been reported in Japanese cedar pollen, GRP is expected to become an important issue in PFAS in Japan.
Practice Clinical internal medicine
Keywords cross reactivity, fruit allergy, GRP (Gibberellin-regulated protein), OAS (oral allergy syndrome), PFAS (pollen-food allergy syndrome)
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参考文献

  • 1) 日本小児アレルギー学会食物アレルギー委員会. 海老澤元宏, 伊藤浩明, 藤澤隆夫監. 食物アレルギー診療ガイドライン2021. 協和企画, 2021.
  • 2) Ipsen H, Lowenstein H. Isolation and immuno-chemical characterization of the major allergen of birch pollen (Betula verrucosa). J Allergy Clin Im-munol 1983;72:150-159.
  • 3) Geroldinger-Simic M, et al. Birch pollen-related food allergy: Clinical aspects and the role of allergen-specific IgE and IgG4 antibodies. J Al-lergy Clin Immunol 2011;127:616-622.
  • 4) Juhlin-Dannfelt C. About the occurrence of vari-ous forms of pollen allergy in Sweden. Acta Med Scand 1948;131(Suppl 206):563-577.
  • 5) Hanafusa K, et al. Worm wounding increases lev-els of pollen-related food allergens in soybean (Glycine max). Biosci Biotechnol Biochem 2018;82:1207-1215.
残りの17件を表示する
  • 6) Ziemianin M, et al. Changes in qualitative and quantitative traits of birch (Betula pendula) pollen allergenic proteins in relation to the pollution con-tamination. Environ Sci Pollut Res Int 2021;28:39952-39965.
  • 7) Holm J, et al. Epitope grafting, re-creating a con-formational Bet v 1 antibody epitope on the sur-face of the homologous apple allergen Mal d 1. J Biol Chem 2011;286:17569-17578.
  • 8) Bolhaar ST, et al. In vivo assessment with prick-to-prick testing and double-blind, placebo-controlled food challenge of allergenicity of apple cultivars. J Allergy Clin Immunol 2005;116:1080-1086.
  • 9) Kiewning D, Schmitz-Eiberger M. Effects of long-term storage on Mal d 1 content of four apple cul-tivars with initial low Mal d 1 content. J Sci Food Agric 2014;94:798-802.
  • 10) Asero R, et al. Systemic allergic reactions induced by labile plant-food allergens: Seeking potential cofactors. A multicenter study. Allergy 2021;76:1473-1479.
  • 11) Tuppo L, et al. Peamaclein--a new peach aller-genic protein: similarities, differences and mis-leading features compared to Pru p 3. Clin Exp Allergy 2013;43:128-140.
  • 12) Inomata N, et al. Identification of peamaclein as a marker allergen related to systemic reactions inpeach allergy. Ann Allergy Asthma Immunol 2014;112:175-177.
  • 13) Senechal H, et al. A new allergen family involved in pollen food-associated syndrome: Snakin/gibberellin-regulated proteins. J Allergy Clin Im-munol 2018;141:411-414.
  • 14) Ehrenberg AE, et al. Characterization of a 7 kDa pollen allergen belonging to the gibberellin-regulated protein family from three Cupres-saceae species. Clin Exp Allergy 2020;50:964-972.
  • 15) Shahali Y, et al. Complementarity between mi-croarray and immunoblot for the comparative evaluation of IgE repertoire of French and Italian cypress pollen allergic patients. Folia Biol (Praha) 2014;60:192-201.
  • 16) Shahali Y, et al. IgE reactivity to common cypress (C. sempervirens) pollen extracts: evidence for novel allergens. World Allergy Organization J 2010;3:229-234.
  • 17) Shahali Y, et al. Differential IgE sensitization to cypress pollen associated to a basic allergen of 14 kDa. FEBS J 2012;279:1445-1455.
  • 18) Iizuka T, et al. Gibberellin-regulated protein sen-sitization in Japanese cedar (Cryptomeria japon-ica) pollen allergic Japanese cohorts. Allergy 2021;76:2297-2302.
  • 19) Mori Y, et al. Investigation of the sensitization rate for gibberellin-regulated protein in patients with Japanese cedar pollinosis. Allergol Immuno-pathol (Madr) 2022;50:89-92.
  • 20) Okazaki F, et al. Determination of Severe Peach Allergens, Gibberellin-Regulated Protein, and Lipid Transfer Protein, Using Monoclonal Anti-bodies. J Nutr Sci Vitaminol (Tokyo) 2022;68:221-227.
  • 21) Su T, et al. Molecular and biological properties of snakins: the foremost cysteine-rich plant host de-fense peptides. J Fungi (Basel) 2020;6:1-17.
  • 22) Oliveira-Lima M, et al. Snakin: structure, roles and applications of a plant antimicrobial peptide. Curr Protein Pept Sci 2017;18:368-374.